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K0211
F

Obstructed Exit Access Corridors During Construction

Kalamazoo, Michigan Survey Completed on 04-30-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

During an observation conducted between 12:00 PM and 1:00 PM, construction equipment, materials, and resident room furniture were found stored in the 100 corridor and in spaces open to that corridor, obstructing the exit access corridors. The construction room door was blocked open, and there was no separation between the construction work area and the corridor. Additionally, glue vapors were present in the corridor, indicating improper ventilation. At the time of the survey, a floor renovation was ongoing in residents' rooms, with some rooms still occupied by residents not under renovation. Construction materials were also stored in a resident day area open to the corridor.

Plan Of Correction

1. All exit access corridors were cleared of all obstructions, including construction equipment/materials and resident furniture, in accordance with LSC 19.2.2 and chapter 7. 2. Actively scheduled staff requiring education will be identified to receive education on keeping exit corridors clear of obstructions. 3. The Director of Plant Operations and/or designee will conduct a weekly audit, and results of the audits will be brought to the Quality Assurance Performance Improvement Committee monthly for review. Any changes to the auditing process will be made by the QA Committee. The Administrator is responsible for attaining and maintaining compliance. 4. The completion date for compliance will be 05/1/2025

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